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NPI Code Detail

MEDICARE: KURT A. MCCAMMON M.D.

MEDICARE:   KURT A. MCCAMMON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician0101057382VA
22088F0040XUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician0101057382VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21598743692OTHERVAANTHEM
313766OTHERVASENTARA HEALTHCARE
4394266OTHERVAANTHEM BC BS

General Provider Information

NPI Number : 1598743692
Entity Type Code : Individual
Provider Name (Legal Business Name) : KURT A. MCCAMMON M.D.
Provider Business Mailing Address
First Line : 225 CLEARFIELD AVE
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-1815
Country : US
Telephone Number : 757-457-5110
Fax Number : 757-466-3411
Provider Business Practice Location Address
First Line : 225 CLEARFIELD AVE
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-1815
Country : US
Telephone Number : 757-457-5110
Fax Number : 757-466-3411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 03/15/2016

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Directions to “ KURT A. MCCAMMON M.D.” Practice Location

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